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Critical Care NEWS
Physical symptoms of depression often manifest after ICU stay
Depression affects more than 1 in 3 survivors of critical illness, according to a study, and the majority of patients experience their symptoms physically rather than emotionally. The study is one of the largest to investigate the mental health and functional outcomes of critical care survivors, according to lead author James Jackson, PsyD, assistant professor of medicine at Vanderbilt University School of Medicine...READ MORE »
Article emphasizes need for evidence-based practice in ICUs
The rationale behind common nursing interventions often is based solely on tradition and not research or other evidence-based practice guidelines, according to a newly published critical care nursing article. The article, published in the April issue of the journal Critical Care Nurse, encourages nurses to critically evaluate and apply evidence to their daily practice to improve patient outcomes and to stop using...READ MORE »
Study: ICU stays can lead to long-term physical impairments
Patients have substantial physical impairments even two years after being discharged following a stay in the ICU, according to a study. Researchers found that for every day of bed rest in the ICU, muscle strength was between 3% and 11% lower over the following months and years. "Even a single day of bed rest in the ICU has a lasting impact on weakness, which impacts patients' physical functioning and quality of...READ MORE »
Critical illness linked to higher chance of psychiatric diagnosis
Critically ill patients receiving mechanical ventilation had a higher prevalence of prior psychiatric diagnoses and an increased risk of a new psychiatric diagnosis and medication use after hospital discharge, according to a study based in Denmark. With recent advances in medical care, more patients are surviving critical illness, according to background information in the study, which was published in the March 19...READ MORE »
ICU practice bundle reduces delirium, ventilation time
Implementing a set of practices to encourage patients' mobility and decrease sedation effectively reduces delirium and the need for a ventilator, according to a study. By increasing patients' mobility during hospitalization, the practice bundle also decreases weakness, according to the study, which was funded by the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative and published...READ MORE »
North Carolina nurses learn about, implement care innovations
Nurses from seven North Carolina hospitals recently shared results from care initiatives that significantly improved patient outcomes while demonstrating anticipated financial savings of more than $2.5 million, according to a news release. The results stem from the nurses' participation in a 16-month experiential, hospital-based nurse leadership and innovation training program sponsored and funded by the American...READ MORE »
Critical care nurses call 5 routine practices into question
The American Association of Critical-Care Nurses, as part of the Critical Care Societies Collaborative, has identified five routine critical care practices that should be questioned because they may not always be necessary and could be harmful. The effort supports Choosing Wisely, an initiative of the ABIM Foundation intended to spur conversations between patients and healthcare providers on which tests and...READ MORE »
HAI prevention policies don't guarantee clinician adherence
ICUs in the U.S. show uneven compliance with infection prevention policies, according to a study. In what was described as the largest study of its kind, researchers from Columbia University in New York City collaborated with the CDC to undertake a nationwide survey of 1,534 ICUs at 975 hospitals as part of the larger Prevention of Nosocomial Infections and Cost Effectiveness Refined study. The survey inquired about...READ MORE »
Staying on statins might stave off delirium in ICU patients
Continued use of statins may help prevent delirium in critically ill patients who received statins before hospital admission, according to a British study. "This is the first study using a validated delirium screening tool, the Confusion Assessment Method-ICU, to show that the administration of statins reduces delirium in these patients," the study's lead author, Valerie J. Page, MB, ChB, of Watford General Hospital...READ MORE »
Nurse-led initiatives improve outcomes, cut costs in Indiana
Nurse-led initiatives in Indiana measurably improved patient outcomes while demonstrating anticipated financial savings of more than $5.2 million to their organizations, according to initial results from a hospital-based nurse leadership and innovation training program launched in 2012 by the American Association of Critical-Care Nurses. AACN developed this team-oriented and hands-on educational experience, AACN...READ MORE »
Article urges clear standards for declaring brain death
Process variations related to brain death have far-reaching implications beyond delaying an official declaration of death, including added stress for the patient's family, missed opportunities for organ donation and increased costs of care, according to an article. "Brain Death: Assessment, Controversy, and Confounding Factors," published in the December issue of the journal Critical Care Nurse, urges the...READ MORE »
Busy ICUs discharge patients more quickly, study finds
Busy ICUs discharge patients more quickly than they would with a normal patient volume and do so without adversely affecting short-term patient outcomes, according to a recent study. The findings suggest low-value extensions of ICU stays are minimized when ICU capacity is under increased strain. The study, conducted by researchers with the University of Pennsylvania in Philadelphia, was published Oct. 1 in the...READ MORE »
Findings: RSV as deadly as influenza in hospitalized adults
Respiratory syncytial virus has a nearly 10% mortality rate - similar to influenza - in hospitalized adult patients, according to a recent study. The researchers also found patients with RSV were sicker at baseline than patients with influenza. Findings published in a 2008 supplement to Managed Care magazine showed RSV in adults is estimated to cause about 180,000 hospital admissions each year at a cost of more than...READ MORE »
Study: Muscle wasting occurs rapidly in critically ill patients
Critically ill patients in a recent study lost muscle mass rapidly while being cared for in the ICU. "Survivors of critical illness experience significant skeletal muscle weakness and physical disability, which can persist for at least five years," Zudin A. Puthucheary, MRCP, of University College London, and colleagues wrote in the background of the article. "Muscle wasting contributes substantially to weakness...READ MORE »
Listening visits by NICU nurses help mothers' emotional well-being
In a small study, mothers who had given birth to preterm babies and who participated in a series of personal sessions with a NICU nurse had lower anxiety and depression symptoms and improved self-esteem. "Having a prematurely born baby is like a nightmare for the mother," Lisa Segre, PhD, assistant professor at the University of Iowa College of Nursing in Iowa City, said in a news release. "You're expecting to have...READ MORE »